Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 7326 | CA |
Y | 225XE1200X | Ergonomics | 7326 | CA |
NPI | 1356519953 |
---|---|
Provider Name | Ms. Susan Lynn Cox |
First Address | Modesto, CA 95350-2216 |
Second Address | Modesto, CA 95350-2216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2008 |
Last Update Date | 15/02/2008 |